Average Medicaid Vaccines & Immunizations Payments in Lexington, TN: $17.46
Avg. Paid
$17.46
Range
$1.15 – $28.86
Total Claims
40,269
Providers
20
Typical Payment Range
Typical Medicaid Vaccines & Immunizations payments fall between $6.71 and $17.15 per claim (median: $11.70). The top 10% of payments exceed $23.30.
Based on per-provider averages across all Medicaid claims in this category.
Preventive vaccines and immunizations protect against infectious diseases. Includes childhood vaccines, flu shots, and adult immunizations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Vaccines & Immunizations in Lexington, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan D Lentz
10777 Highway 412 W |
$13.64 | 12,638 | 11,475 |
|
Ashley Kate Melton
10777 Highway 412 W |
$18.20 | 6,437 | 5,994 |
|
Kendra D Grissom
10777 Highway 412 W |
$18.92 | 6,384 | 5,703 |
|
Rachel Tyler Walker
157 W Church St |
$19.45 | 3,799 | 3,386 |
|
Mary Katheryn Jones Goodwin
157 W Church St |
$18.26 | 3,121 | 2,728 |
|
Crystal Gail Mcdaniel
250 Boswell Street |
$22.40 | 2,198 | 1,968 |
|
Elizabeth Ann Snider
10777 Highway 412 W |
$17.11 | 1,965 | 1,751 |
|
Megan Lynn Essary
Goodwin Children'S Clinic |
$22.46 | 1,376 | 1,163 |
|
Casey Beecham Blair
10777 Highway 412 W |
$24.15 | 1,304 | 1,199 |
|
Melinda S Maranto
727 E Church St |
$24.50 | 357 | 293 |
|
State Of Tennessee
90 Rush Street |
$28.86 | 149 | 131 |
|
Thomas C Mcdonald
200 W Church St |
$3.19 | 97 | 78 |
|
Natasha Mae Loftin
200 W Church St |
$5.13 | 91 | 65 |
|
Tara Hendrix
9550 Hwy 412W Suite C |
$7.14 | 86 | 68 |
|
Reggie Allan Henderson
200 W Church St |
$1.15 | 57 | 52 |
|
Tammy Colwick Milholen
270 W Church St |
$7.97 | 55 | 48 |
|
Robert G Day
9550 Highway 412 W Ste C |
$8.67 | 48 | 38 |
|
Chad C Scott
200 W Church St |
$12.88 | 45 | 45 |
|
Robert J. Pomphrey
16615 Highway 104 N Ste B |
$7.90 | 35 | 30 |
|
Alan Davis Weatherford
200 W Church St |
$9.87 | 27 | 24 |
What to Expect: Vaccines & Immunizations
Vaccinations take just a few minutes. The vaccine is given as an injection, usually in the upper arm. Minor side effects like soreness at the injection site, mild fever, or fatigue may occur and typically resolve within 1-2 days. Your provider may recommend waiting 15 minutes after certain vaccines to monitor for any allergic reactions.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90460 | Immunization admin thru 18 | $19.20 | 68,551,665 | 43,815 |
| 90471 | Immunization admin 1st inj | $9.66 | 57,130,368 | 98,445 |
| 90686 | Flu vaccine IIV4 pf 3+ | $5.45 | 39,418,111 | 97,965 |
| 90472 | Immunization admin each addl | $12.92 | 20,815,186 | 28,106 |
| 90670 | PCV13 pneumococcal vaccine | $6.38 | 19,269,963 | 34,047 |
| 90461 | Immunization admin addl comp | $8.83 | 16,859,567 | 21,627 |
| 90633 | Hepatitis A vaccine ped 2-dose | $3.37 | 9,767,245 | 26,524 |
| 90680 | Rotavirus vaccine 3-dose | $3.46 | 7,993,355 | 19,524 |
| 90723 | DTaP-HepB-IPV vaccine | $3.92 | 7,098,290 | 16,826 |
| 90715 | Tdap vaccine | $11.85 | 6,717,093 | 22,225 |
| 90651 | HPV vaccine 9-valent | $15.95 | 6,526,878 | 22,658 |
| 90648 | Hib vaccine 4-dose | $3.83 | 6,018,911 | 13,271 |
| 90698 | DTaP-IPV/Hib vaccine | $4.60 | 5,666,589 | 14,010 |
| 90734 | Meningococcal vaccine MCV4 | $6.16 | 4,232,186 | 19,287 |
| 90647 | Hib vaccine 3-dose | $2.36 | 4,009,651 | 9,899 |
| 90688 | Flu vaccine IIV4 3 yrs+ | $6.95 | 3,844,650 | 22,235 |
| 90716 | Varicella vaccine | $7.15 | 3,626,719 | 12,830 |
| 90707 | MMR vaccine | $5.40 | 3,456,536 | 12,527 |
| 90700 | DTaP vaccine | $3.40 | 3,091,238 | 9,829 |
| 90656 | Influenza vaccine 3+ pf | $5.83 | 2,918,961 | 30,479 |
| 90744 | HepB vaccine ped 3-dose | $3.49 | 2,870,013 | 10,205 |
| 90710 | MMRV vaccine | $4.77 | 2,595,476 | 11,273 |
| 90674 | Influenza vaccine ccIIV4 pf | $12.97 | 2,068,360 | 15,688 |
| 90681 | Rotavirus vaccine 2-dose | $3.80 | 2,035,812 | 7,164 |
| 90474 | Immunization admin addl intrn | $7.86 | 1,972,978 | 6,114 |
| 90696 | DTaP-IPV vaccine | $3.68 | 1,737,945 | 9,616 |
| 90713 | IPV vaccine | $4.24 | 1,284,417 | 3,821 |
| 90658 | Influenza vaccine 3 yrs+ | $5.70 | 1,068,634 | 5,968 |
| 90685 | Flu vaccine IIV4 pf 6-35mo | $3.69 | 976,735 | 9,467 |
| 90473 | Immunization admin oral/nasal | $7.96 | 626,154 | 2,775 |
| 90649 | HPV vaccine 4-valent 3-dose | $7.39 | 517,956 | 2,452 |
| 90672 | Influenza vaccine LAIV4 nasal | $3.58 | 487,623 | 3,404 |
| 90750 | Zoster vaccine recombinant | $77.62 | 400,713 | 1,816 |
| 90746 | HepB vaccine adult | $40.42 | 385,011 | 1,527 |
| 90732 | PPSV23 pneumococcal vaccine | $44.97 | 235,648 | 1,520 |
| 90714 | Td vaccine preservative free | $12.49 | 218,801 | 628 |
| 90632 | Hepatitis A vaccine adult | $35.26 | 143,816 | 794 |
| 90687 | Flu vaccine IIV4 6-35 months | $3.74 | 141,649 | 1,469 |
| 90657 | Influenza vaccine 6-35 months | $2.60 | 136,684 | 857 |
| 90660 | Influenza vaccine live nasal | $4.09 | 93,337 | 1,123 |
| 90653 | Influenza vaccine adjuvanted | $10.72 | 83,986 | 1,301 |
| 90733 | Meningococcal vaccine MPSV4 | $12.70 | 56,310 | 285 |
| 90636 | Hepatitis A & B vaccine adult | $61.18 | 28,289 | 142 |
| 90630 | Influenza vaccine IIV-HD | $6.56 | 17,349 | 198 |
| 90747 | HepB vaccine dialysis | $32.69 | 12,100 | 147 |
| 90740 | HepB vaccine dialysis ped | $30.98 | 11,585 | 115 |
| 90743 | HepB vaccine adolescent 2-dose | $8.62 | 7,901 | 70 |
| 90654 | Influenza vaccine preserv free | $5.46 | 7,872 | 74 |
| 90736 | Zoster vaccine live | $90.00 | 6,897 | 71 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Vaccines & Immunizations cost in Lexington, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Vaccines & Immunizations in Lexington, TN is $17.46 per claim, based on 40,269 claims from 20 providers. Typical payments fall between $6.71 and $17.15. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Vaccines & Immunizations in Lexington, TN?
There are 20 Medicaid providers offering Vaccines & Immunizations related services in Lexington, TN according to public payment data.
What is the price range for Vaccines & Immunizations in Lexington, TN?
Medicaid reimbursement for Vaccines & Immunizations in Lexington, TN ranges from $1.15 to $28.86 per claim, with an average of $17.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Lexington, TN
Office Visit
Avg $41.42
189,189 claims
Emergency Room Visit
Avg $78.42
125,842 claims
Blood Work & Lab Tests
Avg $3.81
70,126 claims
Dental Cleaning & Exam
Avg $27.44
50,545 claims
Ambulance Transport
Avg $51.05
39,637 claims
Physical Therapy
Avg $34.89
34,234 claims
Eye Exam
Avg $36.98
24,517 claims
Urinalysis & Urine Tests
Avg $1.42
16,961 claims